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Severe physical and learning impairment is a feature of many chronic and disabling conditions in children. These children have many potential sources of pain. Pains may arise from the disease process itself (e.g. neuropathic pain or muscle spasm), be secondary to the disease (e.g. musculo-skeletal pain or pain from reflux oesophagitis) or incidental (e.g. tooth ache or otitis media). However, because the children have difficulty in communicating their pain it can go unrecognized and untreated. It is the child's behaviour often, rather than their verbal report, which has to be interpreted to determine if they have pain. Because it can be difficult sometimes for parents and for health care professionals to distinguish which behaviours do indicate pain and to follow the progress of pain relieving treatments, we have developed a pain assessment scale specifically for this population of children.
The scale consists of 20 types of behaviour each rated on a 4 point scale (0-3) according to the extent to which a behaviour occurs within a given time frame (from “not at all” to “a great deal”. The total score will range from 0 to 60.
We have ‘packaged’ the scale along with other forms which may be used in documenting the context of the behaviours and actions taken, for instance it is helpful to record on the “baseline” how the child behaves “at their best” or “on a good day”.
Translations into Hindi, Urdu, Norwegian, Danish, Italian and German are also made available for download by licensed users. Some other language translations might be available from the authors. Please contact the authors by using the Support tab on the left hand tab of this page to confirm if a translation to your language is available.
For further information about the PPP tool, please visit the PPP website.
Please note that an approved licence is required before commercial files related to this product can be downloaded. Such files are indicated by .
File description:PRODUCT FILE - ENGLISH LANGUAGE VERSION
File size:231.38 KB
File description:PRODUCT FILE - NORWEGIAN LANGUAGE VERSION
File name:Smerteprofil norsk versjon og NCCPC-R norsk.pdf
File size:545.44 KB
File description:PRODUCT FILE - DANISH LANGUAGE VERSION
File size:170.31 KB
File description:PRODUCT FILE - ITALIAN LANGUAGE VERSION
File name:PPP traduz. italiano.pdf
File size:339.32 KB
File description:PRODUCT FILE - GERMAN LANGUAGE VERSION
File name:PPP Deutsch.pdf
File size:94.70 KB
File description:PRODUCT FILE - PUNJABI LANGUAGE VERSION
File name:PPP tool_PUNJABI.pdf
File size:103.22 KB
File description:PRODUCT FILE - URDU LANGUAGE VERSION
File name:PPP tool_URDU.pdf
File size:1.80 MB
File description:Preview of the Pediatric Pain Profile assessment form
File name:ppp preview.jpg
File size:248.06 KB
Hunt, A.M. (2001). Towards an understanding of pain in the child with severe neurological impairment. Development of a behaviour rating scale for assessing pain, University of Manchester , Manchester.
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